CN105392507B - For the inserter of tubular medical implanted device - Google Patents
For the inserter of tubular medical implanted device Download PDFInfo
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- CN105392507B CN105392507B CN201480033570.9A CN201480033570A CN105392507B CN 105392507 B CN105392507 B CN 105392507B CN 201480033570 A CN201480033570 A CN 201480033570A CN 105392507 B CN105392507 B CN 105392507B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/00781—Apparatus for modifying intraocular pressure, e.g. for glaucoma treatment
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Prostheses (AREA)
- External Artificial Organs (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Abstract
Provide a kind of inserter for being used to tubular medical implanted device is inserted into tissue.The inserter includes the rigid rod longitudinally extended.The bar has the distal part for limiting open slot.The open slot diametrically longitudinally extends to substrate through bar.The open slot is arranged to receive and discharges the tubular medical implanted device.
Description
Cross reference to related applications
This application claims on June 13rd, 2013 Provisional Application No. submitted be 61/834,609 patent application it is preferential
Power, the full content of the patent application are herein incorporated by reference.
Technical field
This application involves medical apparatus implantation pieces.More specifically, this application involves for by tubular medical device implantation piece
It is inserted into human body（Specifically, eyes are inserted into）Device.
Background technology
Glaucoma is the accumulation of pressure in eye, can impact the blood supply for flowing into optic nerve.Pressure in such eye
Accumulation, if leave without check, optic nerve can be destroyed, cause visual impairment and blindness.It has proposed for each of shunting
Kind current divider and instrument are so as to the accumulation to ease off the pressure.
United States Patent (USP) U.S.7,431,709 describes a kind of Glaucoma Drainage made of the flexible material of such as SIBS point
Flow device.Fig. 1 shows United States Patent (USP) U.S.7,431,709 Glaucoma Drainage current divider 1, including tubule 2 and protruding portion 3
Positioned at the substantially middle of the length along pipe.The diameter of the inner cavity of pipe 2 is 50 μm to 100 μm.Protruding portion 3 prevents pipe 2 from moving to
Intraocular, this may be when blinking；That is, pipe is pushed into intraocular by eyelid.
The Glaucoma Drainage current divider 1 of Fig. 1 and Fig. 2 makes the accumulation of pressure in eye minimize to treat glaucoma.Green light
Eye drainage shunt 1 is transported to the entrance i.e. distal end that intraocular causes pipe（D）In the anterior chamber of eye, and near-end（P）Or green light
The drainage end of eye drainage shunt 1 is in the pouch of conjunctiva/between fascia bulbi and sclera or space, and the pouch or space are by quilt
The aqueous humor of extraction fills and forms bubble shape storage capsule, referred to as steeps（Fig. 2）.Aqueous humor can be assembled in bubble and pass through conjunctiva
It is diffused into tear film and tear stains or by sclera into pleasing to the eye venous system.In this way, aqueous humor is removed simultaneously from anterior chamber
And into bubble, aqueous humor diffuses out and the intraocular pressure in anterior chamber in bubble（IOP）Therefore it is lowered, so as to inhibit glaucoma.
In order to aid in that Glaucoma Drainage current divider is placed in eye, develop and retouched in a kind of Fig. 9 of patent 7,431,709
The inserter stated.The inserter 31 herein as shown in Figure 3A and Figure 3B is copied to by handle 32 from patent 7,431,709 and is opened
Groove pin 33 is formed, and the fluting pin is fitted slidably in outer pin 34.Thumb slide 35 is rigidly attached to fluting pin 33.It is blue or green
Light eye drainage shunt 1 is loaded in the fluting tip 33 of inserter 31, as shown in the tip amplified in Fig. 3 B.Protruding portion
3 stretch out from the slot 36 in the fluting tip 33 of inserter 31.
Glaucoma Drainage current divider 1 will form needle track in the region being placed first in eye.Contain Glaucoma Drainage point
The fluting tip 33 for flowing the inserter 31 of device 1 is inserted into needle track until protruding portion 3 is against needle track entrance；That is the sclera of eye.Then
The thumb slide 35 for being attached to slotted-tube 33 is pulled compared with Glaucoma Drainage current divider, the Glaucoma Drainage current divider
By means of being held stationary against the protruding portion 3 of external fixing pipe 34, and pin 33 of slotting is retracted, and Glaucoma Drainage is shunted
Device 1 is stayed in the needle track of eye.Fig. 2 shows the Glaucoma Drainage current divider 1 of the final resting position in eye.Needle track preferably by
It is initially formed, reason is due to pipe（Pin）The part of cutting tip be removed for holding tank, slot accommodates protruding portion 3, because
It may be difficult that slotted-tube 33 is inserted into eye by this.
The inserter 31 of Fig. 3 A being used in connection in the presence of the Glaucoma Drainage current divider 1 with Fig. 1 and Fig. 2 is relevant several to ask
Topic.Inserter 31 is big, and often by patient nose or forehead stop, and inserter tip 33 can not be operated into
Enter suitable position to move ahead along needle track.Pin bending is prevented into slotted-tube 33 in outer tube 34 to allow preferably to approach
It slides；Therefore needle assemblies can not be bent.Moreover, the SIBS materials of Glaucoma Drainage current divider are soft and viscous（Tool
There is Shore hardness 10A to 60A）And it does not slide and is frequently occluded well in the fluting pin of inserter, this delays slotting
Enter process or current divider can be destroyed.In addition, when inserter is inserted into needle track, tissue can extend into the slot 33 of inserter
It is interior, it binds Glaucoma Drainage current divider and causes its bending.In addition, the overall diameter of inserter pin is big and extends pin
Road.When needle tip is in needle track, fluid can surround Glaucoma Drainage current divider and be flowed within pin inner chamber, and make eye
It shrinks（That is, a kind of term is the state of " Ocular hypotension "）, this can result in the adverse events including detached retina etc..Moreover,
The protruding portion 3 of Glaucoma Drainage current divider 1 can be rotated up as the dorsal fin on shark often, when it happens, prominent
Portion 3 can be corroded through conjunctiva and cause infection.
The protruding portion 3 of Glaucoma Drainage current divider 1 is designed to and 33 cooperation work of the slotted-tube of inserter device 31.With
Current divider 41 as shown in Figure 4 is changed into the passage of time, the design of Glaucoma Drainage current divider, and wherein protruding portion 43 is made
Into symmetrical and undamaged, so as to not be corroded through conjunctiva.
Moreover, Glaucoma Drainage current divider 41 can introduce needle track hence into intraocular by tweezers 50, as shown in Figure 5.
But using tweezers, there are relevant issues.For example, with tweezers 50 by Glaucoma Drainage current divider 41 be inserted into needle track be it is difficult,
Reason is that Glaucoma Drainage current divider 41 is soft and can bend.The insertion of Glaucoma Drainage current divider 41 is slow
And it is uncertain, reason is when promoting Glaucoma Drainage current divider 41 from the near-end of Glaucoma Drainage current divider 41, blue or green
Light eye drainage shunt 41 will be bent, and therefore must from the section of the pipe of needle track entrance it is progressive glaucoma is promoted to draw
Flow current divider 41.
Another arrangement for being inserted into drainage shunt 41 is shown in FIG. 6, and shows and be connected to the gold of handle 61
Belong to the Glaucoma Drainage current divider 41 in Fig. 4 of 60 cooperation of line stylet.Stylet 60 passes through the inner cavity of the pipe of current divider 41.Make
With arrangement shown in Fig. 6, there is also many problems.Although the help of stylet 60 makes pipe hard, stylet 60 is non-by diameter
Often small metal wire is made, and in 70 μm of the order of magnitude, this causes, and it is unexpected sharp and it is stuck in the threadiness of needle track often
In tissue, Glaucoma Drainage current divider 41 is hindered to be inserted into needle track.In addition, the hose of current divider 41 is easy on stylet 60
It folds, accordion, which prevent current dividers 41 to be inserted into needle track.Finally, stylet 60 is usually bonded in current divider 41
It inner cavity and is accordingly difficult to remove without shifting current divider from current divider 41.
In another example, Fig. 7 A to 7D show substitution method, the Glaucoma Drainage current divider 41 of wherein Fig. 5 with
Component 70 is used in combination, and component 70 is included in the trocar 74 extended on pin 71.Specifically, component 70 is included from 71 extension of set section
The pin 72 of hypodermic type.Pin 72 has the sharp end 72 being inserted into eye 73.Trocar 74 is thin with inclined-plane distal end
Wall outer tube.The side wall of slot 75 through trocar 74 is formed in its far-end, and in the centerline axis parallel of nearside and pipe 74
Side upwardly extends.Trocar 74 can be made of the duroplasts of metal or such as polyimides.Needle shaft extends through outer tube 74
Inner cavity, and it is set such that the sharp end 72 of needle shaft extends beyond the inclined-plane distal end of outer tube 74, as shown in Figure 7 A.This
In setting, the sharp end 72 of needle shaft be used to be pierced into eye and form the needle track for importing intraocular.With component（Trocar and pin）Quilt
Intraocular is pushed into, thus the inclined-plane distal end of trocar 74 slightly expands needle track through needle track and into pleasing to the eye.Subsequent pin 70 is moved
It removes, leaves trocar 74, as shown in Figure 7 B.Glaucoma Drainage current divider 41 then uses tweezers（It is not shown）It is inserted into the slot of trocar 74
In 75, as described in Fig. 7 C.Then trocar 74 is removed, and is left Glaucoma Drainage current divider 41 and is entered intraocular through needle track,
As illustrated in fig. 7d.
In the presence of it is related to the method for Fig. 7 A to 7D the problem of.First, when trocar 74 is difficult to pin 71 being pushed into when on pin 71
Appropriate location.Secondly, when pin 70 is removed for leaving trocar 74 through the road from trocar 74（Fig. 7 B）When, aqueous humor passes through set
Pin 74 leaks, this can cause the contraction of undesirable eye（That is, term is the state of " Ocular hypotension "）.Again, when trocar 74 from
Eye is removed for leaving current divider 41 through needle track（Fig. 7 D）When, trocar can be by Glaucoma Drainage current divider 41 therewith
It pulls out.
Fig. 7 A have been attempted to the alternative arrangement arranged shown in 7D（It is not shown）, wherein forming pin by sharp pin first
Road, the Glaucoma Drainage current divider then preloaded in sharp metal trocar with glaucoma pipe are inserted into needle track.Glaucoma
Drainage shunt is kept with tweezers and trocar is removed.The problem of device of this replacement, is that Glaucoma Drainage current divider is normal
Often come out with trocar.In addition, aqueous humor is shunk in Glaucoma Drainage current divider periphery leakage and eye.
The content of the invention
Describe a kind of inserter for being used to tubular medical implanted device is inserted into tissue.Inserter is included longitudinally
The rigid rod of extension.Bar has the distal part for limiting open slot.Open slot diametrically extends to base through bar along longitudinal axis
Bottom.Open slot is arranged to receive the medical embedded device of tubulose.
Opposite finger distad extends to the distal end of the finger of the far-end of bar from substrate parallel to longitudinal axis.
In one embodiment, each refer to flat with extending from the near-end that bases refer to the distal end of finger parallel to longitudinal axis
The inner surface in face.The inner surface of the plane of finger is parallel to each other and the distal end of two opposite fingers limits opening in lead-in groove.
Moreover, in one embodiment, the substrate of slot is limited by the round hole diametrically extended, round hole edge and the longitudinal axis of bar
Orthogonal the first transversal line extension of line, puts down wherein the first transversal line and longitudinal axis are limited parallel to what the plane limited by slot extended
Face.
In another embodiment, bar can be attached to handle in the distal portion office of handle.The portions of proximal of handle can
To be the longitudinal axis line skew from bar.
Feature and detailed description below described in present invention are not exhaustive.For ordinary skill people
For member, feature in addition will be apparent due to the attached drawing, the description and claims that consider this paper.
Description of the drawings
Fig. 1 is the side view of the Glaucoma Drainage current divider described in United States Patent (USP) US No. 7,431,709.
Fig. 2 is to show that the Glaucoma Drainage current divider of Fig. 1 is implanted the schematic diagram of the position in ocular environment at it.
Fig. 3 A and 3B be show as it is described in United States Patent (USP) US No. 7,431,709, draw for the glaucoma with Fig. 1
The schematic diagram for the inserter device that stream current divider is used in conjunction with.
Fig. 4 is the schematic top plan view of the Glaucoma Drainage current divider with symmetrical protruding portion.
Fig. 5 is the schematic diagram for showing to be inserted into the process of the Glaucoma Drainage current divider of Fig. 4 with tweezers.
Fig. 6 is the schematic diagram for the metal wire stylet and handle being used in combination with the Glaucoma Drainage current divider of Fig. 4.
Fig. 7 A to 7D are the signals for showing to be inserted into the Glaucoma Drainage current divider of Fig. 4 using trocar and needle assemblies intraocular
Figure.
Fig. 8 A are the diagrammatic top views according to the first embodiment of the inserter device of the application.
Fig. 8 B are the diagrammatic side views of the inserter device of Fig. 8 A；The side view of Fig. 8 B and the top view of Fig. 8 A be 90 degree just
It hands over.
Fig. 9 is the diagrammatic top view according to the second embodiment of the inserter device of the application.
Figure 10 is to show the Fig. 4 blocked by the opposite finger of the fluting far-end arrangement of the inserter of Fig. 8 A and 8B and Fig. 9
Glaucoma Drainage current divider schematic diagram.
Figure 11 A to 11D are to show that the Glaucoma Drainage current divider of Fig. 4 is inserted into intraocular using the inserter of Fig. 8 A and 8B
Schematic diagram.
Figure 12 is the equidimension view according to the another exemplary embodiment of the inserter device of the application, including by machine
It is connected to the handle of the device of Fig. 8 A and 8B tool.
Specific embodiment
According to the application, a kind of be used for the inserter device of tubular medical implanted device insertion human body is provided.Insertion
Device device by the Glaucoma Drainage current divider 41 of Fig. 4 particularly suitable for being inserted into intraocular, and the Glaucoma Drainage current divider 41 is by softness
And deformable material formed.If current divider 41 is pushed from its distal end, then current divider 41 it is soft deformable
Material can result in the bending of current divider 41.
Fig. 8 A and 8B show the working end of the exemplary embodiment of inserter 100, which includes rigid rod 80
（Preferably realized by metal）, the diameter of bar is preferably in 0.012 " to 0.025 "（Or 30G to 22G）Scope in.Bar 80 wraps
It includes portions of proximal 88 and is adjacent to the distal part 89 of portions of proximal.Slot or hole 81 are formed in the distal part 89 of bar 80.Slot
81, diametrically through bar 80, upwardly extend, through bar 80 in the side of the first transversal line B-B of the longitudinal axis A-A transverse to bar 80
Distal part and proximally upwardly extended in the side parallel to axis A-A.
The fluting distal part of bar 80 limits two opposite finger 83A, 83B（It is referred to as " pitching " in cooking skill）, should
Two fingers extend parallel to each other on the direction parallel to the central axis A-A of bar.The interior of plane can be had by referring to 83A, 83B
Surface 84A and 84B.Referring to 83A, 84B, proximally 86A, 86B extend to distal end 85A, 85B.Two distal ends for referring to 83A, 83B relatively
85A, 85B limit opening 81A（Fig. 8 A）, opening 81A is a part for slot 81.The forward position distal most surface of distal end 85A, 85B can be with
Around the first transversal line B-B spherings, as shown in Figure 8 A, and around second transverse axis orthogonal with longitudinal axis A-A and the first transversal line B-B
Line C-C spherings, as shown in Figure 8 B, so that insertion is aided in be oriented to the tissue tract of intraocular.The lateral edges of two sides for referring to 83A, 83B
87 can also be tapered, as shown in Fig. 8 B bests, so that insertion is aided in be oriented to the tissue tract of intraocular.Therefore, edge
Second axis B-B measurements, are referred at the position 1 of 83A and 83B in the fig. 8b（Close to the distal end referred to）With position 2 in the fig. 8b
Place（Close to near-end 86A, 86B）Compared to smaller size.Both slot 81 and opening 87 are all set to receive medical embedded
The flexible tubular main body of device simultaneously holds it in appropriate location, the green grass or young crops of flexible tubular main body such as Fig. 4 of medical embedded device
The hose 42 of light eye drainage shunt 41.For example, surface 84A and 84B along the second transversal line C-C finger 83A and 83B measured
The distance between be confirmed as the size for receiving the tubular body of medical embedded device and holding it in appropriate location.
Reference numeral refers to the similar features of inserter 100, described above.In inserter 101, the lockhole of fluting
82 can form in the distal part 89 of bar 80, as shown in Figure 9.The lockhole 82 of fluting is by the round hole 82A that diametrically extends
It is limited with from the distally extending slot 81 of round hole.Lockhole 82 is in the side of the second axis B-B of the longitudinal axis A-A transverse to bar 80
It upwardly extends, through the distal part of bar 80, and is proximally upwardly extended in the side parallel to longitudinal axis A-A.Bar 80 is opened
Two that the distal part restriction of slot is arranged opposite to each other refer to 83A, 83B.The inner surface 84A of plane can be had by referring to 83A, 83B
And 84B.Referring to 83A, 83B, proximally 86A, 86B extend to distal end 85A, 85B.The distal end 85A of two opposite finger 83A, 83B,
85B limits the opening 81A in lead-in groove 81（Fig. 8 A）.As shown in Figure 8 A, curved edge 95A, 95B is referring to the remote of 83A, 83B
It is formed at end 85A, 85B around the first transversal line B-B.Moreover, forward position distal-most edge 105A, 105B of distal end 85A, 85B can be around
Second transversal line C-C spherings, the second transversal line C-C is orthogonal with longitudinal axis A-A and the first transversal line B-B, as shown in Figure 8 B.Bending
Edge 95A, 95B, 105A and 105B auxiliary insertion is oriented to the tissue tract of intraocular.The lateral edges 87 of two sides for referring to 83A, 83B
It can also be tapered, as shown in Fig. 8 B best, so that insertion is aided in be oriented to the tissue tract of intraocular.
Both opening 81A in lockhole 82 and guiding lockhole 82 are all set to receive the flexible hose of medical embedded device 41
Shape main body 42, such as the hose 42 of the Glaucoma Drainage current divider 41 of Fig. 4.Such insertion can include medical embedded device
The compression of flexible tubular main body.The opening 81A imported in the lockhole 82 of fluting can be decided to be to exist less than flexible tubular main body 42
The size of outer radius in its uncompressed state loosened is so that the flexible tubular main body 42 of medical embedded device 41 is retained in
In lockhole 82.This feature can be conducive to device 41 being encapsulated on inserter 101, because in such an embodiment will not
Take set of form.
In the exemplary embodiment shown in Figure 10 and 11A into 11D, by means of the overall diameter of pipe 42（Loosen at it
In uncompressed state）It is slightly larger than separated most along the finger of the slot 81 of the second transversal line C-C inserters 100 by bar 80 measured
Big distance（Or the diameter of the round hole 82A of the lockhole 82 of inserter 101）, the pipe 42 of the Glaucoma Drainage current divider 41 of Fig. 4 exists
Close to the distal tip of pipe 42（Away from distal end 1mm to 3mm）Place is maintained at the slot 81 of the inserter 100 of bar 80（Or inserter 101
Lockhole 82 round hole 82A）In.In one embodiment, this maximum range is less than the overall diameter of pipe 42（Loosen not at it
In compressive state）5% to 30% enables to keep even encapsulating with bar 80 by Glaucoma Drainage current divider 41（That is, pre-add
It carries）Together.
The current divider insertion process using above-described inserter is described below.During use, formed and import eye
Needle track 71 in 73, as schematically illustrated in Figure 11 A.Needle track can be by curved 25G（Diameter 0.02 "）Pin formed, pin
Road is blocked to prevent aqueous humor from flowing out through pin from eye（Pin needs not be hollow in itself）.If desired, Glaucoma Drainage point
The distal part of the hose 42 of device 41 is flowed between the opposite finger of the slot 81 of the inserter 100 of bar 80（Or the lock of inserter 101
The round hole 82A in hole 82）It is stuck, as shown in Figure 11 A.In this set, bar 80 is manipulated so that the distal end of bar 80 enters
And pass through needle track 71.The pipe 42 of Glaucoma Drainage current divider 71 passes through pin at it made of soft extensible elastic material
It is consistent during road 71 with bar 80, as shown in Figure 11 B and 11C.Once Glaucoma Drainage current divider 41 is completely in suitably
Position, i.e., at the point to cross in the sclera of fin 43 and eye（Figure 11 C）, bar 80 simply withdrawn, and causes drainage shunt
41 hose 42 is from it between the opposite finger of the slot 81 of the inserter 100 of bar 80（Or the circle of the lockhole 82 of inserter 101
Hole 82A）Position be released, and the appropriate location being therefore maintained in eye.In the position, the hose 42 of drainage shunt 41
Through needle track and distal end（Entrance）It is maintained at intraocular part.
Handle 91 can be mechanically coupled to the near-end of bar 80, as shown in Figure 12.Handle 91 can be by for example poly- third
The plastic material of alkene, polyethylene, ABS, makrolon, polyurethane, nylon etc. is formed.Handle 91, which can have to be shaped as, to be divided
The adjutage 93 with the forehead of patient and nose conflict is prevented in stream device insertion process.Bar 80 can insert-molded, press-fit or with
Other modes are attached to handle 91.The region that bar 80 is attached to handle 91 can be circular and be tapered, so that
Cap can be placed on bar 80 so as to guard bar 80 during transport.Ring or pipe（It is not shown）It can be placed on bar 80
Carry out the depth that control-rod 80 is pierced into intraocular.Alternately, the length that bar 80 is protruded from handle can be by mechanical mechanism controls.Handle
91 black box and bar 80 can be disposable.
Inserter described herein and method have advantage when being used to be inserted into the Glaucoma Drainage current divider of Fig. 4.Such as
Only one example, when pin is removed, aqueous humor is non-leakage by the needle track for the collapse being left, therefore reduces the wind of eye contraction
Danger.In addition, Glaucoma Drainage current divider is releasedly stuck between the finger of the distal working of inserter, and can be with this
Mode is packaged and sterilizes.Moreover, the Glaucoma Drainage being releasedly stuck between the finger of the distal working of inserter point
Stream device can be inserted into needle track and not have leakage of aqueous humor around inserter.Inserter does not have movable members, and therefore
Avoid any mechanism that may block.Inserter can be total to the handle for the obstruction minimum for making forehead and nose from patient
With use.Glaucoma Drainage current divider is introduced into hole, this avoids Glaucoma Drainage current divider bending and allow quickly and
Smooth insertion.
Those skilled in the art will be understood that, the finger by milling and/or can be pierced in bar.Alternately, refer to
It can be made of the line extended from pipe.The line can be fixed on by means of brazing, soft soldering or using adhesive in pipe.Technology
Personnel are it is also contemplated that light wall pipe can be placed on rigid rod and the finger is distally extending from bar and light wall pipe.Described
In configuration, when green light eye device is maintained in finger, and rigid rod is contracted, and when light wall pipe is held stationary, glaucoma pipe
It is released due to the intervention from light wall pipe from rigid rod.
In another embodiment, rigid rod can be provided with a kind of mechanism, refer to described in the mechanism and acted on by chuck type
Initiatively it is closed.Such chuck type effect is well known in the art.
It is described and illustrated herein a kind of to be used for the multiple of the medical embedded device insertion in vivo device of people of flexible tubular
Embodiment.Inserter device by the soft Glaucoma Drainage current divider 41 of Fig. 4 particularly suitable for being inserted into intraocular.Although it describes
The particular embodiment of the present invention, but be not intended to and limit the invention to the embodiment, it is that the present invention has skill because for the purpose of
The scope as wide as possible and specification that art allows are also so to be understood.Therefore skilled person would appreciate that
Other remodeling can be made to the invention of offer at present without departing from spirit and scope as claimed.
Claims (16)
1. a kind of be used for the inserter system of tubulose ocular shunt insertion intraocular, the system comprises：
Limit central lumen, the tubulose ocular shunt with elongated compressible body；And
The elongate rigid wand longitudinally extended, the bar has the distal part for limiting open slot, wherein the open slot edge
The longitudinal axis extends to substrate from openend, and transverse to the longitudinal axis the first transversal line diametrically through described
Bar, wherein one of the tubulose ocular shunt that is sized for receiving and be held in compression with of the open slot
Point, the inner cavity of a part for the current divider being kept is alignd with first transversal line and is diametrically fully passed over described
Slot and through the bar, and the distal end of wherein described bar is arranged to and is received by the open slot of the bar and holding
It is inserted into together by being oriented to the tissue access of intraocular in the part of the tubulose ocular shunt of compressive state.
2. inserter system according to claim 1, wherein, the open slot is limited by two opposite fingers, the phase
To finger distad extended to parallel to the longitudinal axis from the substrate bar far-end the finger distal end.
3. inserter system according to claim 2, wherein each referring to the inner surface with plane, the interior table of the plane
Face extends to the distal end of the finger, and wherein described finger from the near-end of the finger of the bases parallel to the longitudinal axis
Plane inner surface it is parallel to each other, and the distal end of wherein described two opposite fingers limits the opening imported in the slot.
4. inserter system according to claim 3, wherein each referring to opposite with the inner surface of the plane curved
Bent outer surface.
5. inserter system according to claim 4, wherein for each finger, the distal end of the finger by inner plane table
Curved edge between face and the curved outer surface limits, wherein the curved edge is around transverse to the of the longitudinal axis
One transversal line is bent, and is put down wherein first transversal line and the longitudinal axis are limited parallel to what the plane of the inner surface extended
Face, and wherein each refer to curved around the second transversal line transverse to the longitudinal axis and first transversal line in its far-end
It is bent.
6. inserter system according to claim 5, wherein the width of the finger measured along first transversal line exists
The far-end of the finger is less than in the proximal end of the finger.
7. inserter system according to claim 1 is indulged wherein the slot is configured to receive along first transversal line
The part for the tubulose ocular shunt being orientated to ground.
8. inserter system according to claim 2, wherein the substrate of the slot is limited by the round hole diametrically extended,
The round hole extends along the first transversal line orthogonal with the longitudinal axis of the bar, wherein first transversal line and the longitudinal axis
Line limits the plane extended parallel to the plane limited by the slot.
9. inserter system according to claim 8, wherein the diameter of the round hole is more than the opposite, flat of the finger
The distance between inner surface in face, wherein the distance between inner surface of plane of the finger is less than when tubulose ocular shunt is in
The overall diameter of the tubular body of tubulose ocular shunt during relaxation state.
10. inserter system according to claim 8, wherein each referring to opposite with the inner surface of the plane of the finger
Curved outer surface, wherein for each finger, the distal end of the finger is by the surface of the inner plane and described curved outer
Curved edge between surface limits, wherein the curved edge is bent around first transversal line, and wherein each refers to
Its far-end is bent around the second transversal line, and second transversal line is orthogonal with the longitudinal axis and first transversal line.
11. inserter system according to claim 10, wherein the width of the finger measured along first transversal line
It is less than in the far-end of the finger in the proximal end of the finger.
12. inserter system according to claim 1 further includes the handle with distal part and portions of proximal, described
The distal part of handle is attached to the bar, and the portions of proximal of the handle is from the longitudinal axis line skew of the bar.
13. inserter system according to claim 1, wherein the rigid rod has up to 0.025 inch of diameter, and
And the diameter for referring to separated distance and being less than the rigid rod of wherein described open slot.
14. inserter system according to claim 1, it is in wherein the separated maximum range of the finger of the open slot is less than
The overall diameter 5% to 30% of the part of the tubulose ocular shunt that it loosens, uncompressed state.
15. inserter system according to claim 1, wherein the size of the open slot is suitable for receiving and keeps described
The distal part of tubulose ocular shunt.
16. inserter system according to claim 1, it is in wherein the separated maximum range of the finger of the open slot is less than
The overall diameter of the part of the tubulose ocular shunt that it loosens, uncompressed state.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201361834609P | 2013-06-13 | 2013-06-13 | |
| US61/834609 | 2013-06-13 | ||
| PCT/US2014/041638 WO2014200966A1 (en) | 2013-06-13 | 2014-06-10 | Inserter for tubular medical implant devices |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105392507A CN105392507A (en) | 2016-03-09 |
| CN105392507B true CN105392507B (en) | 2018-06-01 |
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| CN201480033570.9A Expired - Fee Related CN105392507B (en) | 2013-06-13 | 2014-06-10 | For the inserter of tubular medical implanted device |
Country Status (10)
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|---|---|
| US (1) | US9649223B2 (en) |
| EP (1) | EP3007741A4 (en) |
| JP (1) | JP6510503B2 (en) |
| KR (1) | KR20160021201A (en) |
| CN (1) | CN105392507B (en) |
| AU (1) | AU2014278364B2 (en) |
| BR (1) | BR112015030696A2 (en) |
| CA (1) | CA2912195A1 (en) |
| HK (1) | HK1217305A1 (en) |
| WO (1) | WO2014200966A1 (en) |
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| US8308701B2 (en) | 2010-11-15 | 2012-11-13 | Aquesys, Inc. | Methods for deploying intraocular shunts |
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| US9808373B2 (en) | 2013-06-28 | 2017-11-07 | Aquesys, Inc. | Intraocular shunt implantation |
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| US10080682B2 (en) | 2011-12-08 | 2018-09-25 | Aquesys, Inc. | Intrascleral shunt placement |
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| AU2015374033B2 (en) * | 2014-12-31 | 2020-07-02 | Microoptx Inc. | Glaucoma treatment devices and methods |
| CN107835678B (en) | 2015-06-03 | 2021-03-09 | 阿奎西斯公司 | Ex-ocular shunt placement |
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| TW201811280A (en) * | 2016-09-01 | 2018-04-01 | 英福卡斯公司 | Tool(s) for inserting a glaucoma shunt |
| CN110913809B (en) * | 2017-06-13 | 2023-10-03 | 英福卡斯公司 | Systems, methods, and devices for treating glaucoma |
| JP6902966B2 (en) * | 2017-08-30 | 2021-07-14 | マニー株式会社 | Back flush needle |
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| KR20240036366A (en) * | 2022-09-13 | 2024-03-20 | 서울대학교병원 | Apparatus for injecting drainage device into eyeball for glaucoma treatment |
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-
2014
- 2014-06-09 US US14/299,622 patent/US9649223B2/en active Active
- 2014-06-10 CA CA2912195A patent/CA2912195A1/en not_active Abandoned
- 2014-06-10 KR KR1020167000734A patent/KR20160021201A/en not_active Application Discontinuation
- 2014-06-10 EP EP14810572.9A patent/EP3007741A4/en not_active Withdrawn
- 2014-06-10 BR BR112015030696A patent/BR112015030696A2/en not_active IP Right Cessation
- 2014-06-10 JP JP2016519584A patent/JP6510503B2/en not_active Expired - Fee Related
- 2014-06-10 CN CN201480033570.9A patent/CN105392507B/en not_active Expired - Fee Related
- 2014-06-10 AU AU2014278364A patent/AU2014278364B2/en not_active Ceased
- 2014-06-10 WO PCT/US2014/041638 patent/WO2014200966A1/en active Application Filing
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2016
- 2016-05-10 HK HK16105274.8A patent/HK1217305A1/en not_active IP Right Cessation
Also Published As
| Publication number | Publication date |
|---|---|
| HK1217305A1 (en) | 2017-01-06 |
| EP3007741A4 (en) | 2017-02-15 |
| US9649223B2 (en) | 2017-05-16 |
| EP3007741A1 (en) | 2016-04-20 |
| BR112015030696A2 (en) | 2017-07-25 |
| WO2014200966A1 (en) | 2014-12-18 |
| JP2016521624A (en) | 2016-07-25 |
| CN105392507A (en) | 2016-03-09 |
| JP6510503B2 (en) | 2019-05-08 |
| AU2014278364A1 (en) | 2015-11-26 |
| AU2014278364B2 (en) | 2018-07-12 |
| KR20160021201A (en) | 2016-02-24 |
| CA2912195A1 (en) | 2014-12-18 |
| US20140371651A1 (en) | 2014-12-18 |
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